以家庭為中心專業團隊服務模式對早期療育之成效探討──以南部某一區域醫院為例

The Effects of Family-Centered Early Interven-tion Practices by Creating a Professional Team-Based Model in a Southern Regional Hospital

以家庭為中心的服務觀念已是目前早期療育服務的發展重點，強調家庭與兒童皆為早期療育中重要的一環，臺灣的醫療服務模式多屬於傳統的專業導向，因此如何將專業服務邁向家庭中心導向凸顯出其重要性。本研究目的為建立可實施在醫療院所以家庭為中心早療專業團隊服務模式，並探討家庭與專業人員在進行研究過程中之變化與兒童之成效。專業團隊與九組家庭進行以作息為本位之晤談方式，透過討論形成共識，並在課程中持續與家庭討論與引導。結果顯示專業人員提供以家庭為中心的早療服務品質，在研究進行後皆有顯著的改善，家庭除了感受以家庭為中心的服務品質有顯著改善外，家庭成效則顯示在了解孩子優勢、幫助孩子學習以及獲得支持系統有顯著的進步；兒童在研究進行後在目標達成量表有顯著的進步。本研究所提出以家庭為中心的早療服務模式是可以運用在醫療環境中使用，相較於傳統的服務模式，能夠更符合家庭的需求，提升家庭的能力以及獲得更多具體的資訊來幫助孩子發展與學習，專業人員能夠在與家庭溝通的過程中更了解家庭的目標與期待，進而與家庭形成共識與良好的合作關係，進而達到良好的兒童成效。

 

The family-centered early intervention practice emphasizes that the family are as im-portant as the children with developmental delay when they receive the service, and the approach often adopts a professional team-based model. However, such practices may have difficulties in implementing in hospitals in Taiwan due to the traditional concept of “expert guidance” existing in most medical systems. The aim of this research attempted to build a professional team-based model and investigated the effects of family-centered services. There were nine families recruited in this study after trained by the professional team members on family-centered services courses which tried to build collaborative relationships with fami-lies, and coach families how to create learning opportunities for their children in daily ac-tivities. Instruments of MPOC-SP, MPOC, FOS-RT, CDIIT-DT and GAS were used to evaluate the effects of the team-based and family-centered services after six months inter-vention. The result found significant improvements in the quality of family-centered services provided by the professional team-based model. Another significant result was found in family outcomes, such as understanding rights, helping children learn and creating a support system for their own family. The outcomes of the children also showed significant im-provements in GAS. The study suggests the professional team-based model to provide fam-ily-centered early intervention services could be effective through collaboration for en-hancing functions of family and promoting development of children with special needs.